Adenoidectomyoften

Adenoidectomy is a surgical procedure that removes the adenoids, a mass of lymphoid tissue located in the nasopharynx behind the nasal cavity. The operation is most common in children, though it may be performed in adults when adenoid-related problems persist or occur.

Indications for the surgery include nasal obstruction due to enlarged adenoids, chronic mouth breathing, nasal discharge, recurrent or persistent otitis media with effusion (fluid in the middle ear), sinusitis, and sleep-disordered breathing such as snoring or sleep apnea. In many cases, adenoidectomy is performed together with tonsillectomy, a combined procedure known as adenotonsillectomy, when both sets of lymphoid tissue contribute to symptoms.

The procedure is typically done under general anesthesia. Access to the adenoids is usually through the mouth, and the tissue is removed using suction, curettage, electric cautery, or a microdebrider. The operation is relatively short, and most patients can go home the same day. Recovery involves pain and throat discomfort for several days, with guidance on pain management, hydration, and gradual return to normal activities; soft foods are often recommended for a short period.

Outcomes are generally favorable, with many children experiencing relief of nasal obstruction, improved sleep, and fewer middle-ear problems. Adenoid regrowth can occur in a minority of cases, potentially requiring revision if symptoms recur. Risks are rare but may include bleeding, infection, temporary changes in voice or swallowing, and anesthesia-related complications. Alternatives include watchful waiting and medical management for mild cases.